Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
SET CYSTO IRRIGATING CS/20
Low
$4
Average
$38
Median
$18
High
$244
Each hospital's average First Health rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 8.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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28 hospital rates
iThe hospitals that file a First Health rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 2 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $7 | $7 | — | — | — | $7 – $7 |
| 6 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 7 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 8 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 9 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 11 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 12 | Penn State Health Hampden Medical Center Enola, PA percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 13 | Penn State Health Holy Spirit Medical Center Camp Hill, PA percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 14 | Penn State Health Lancaster Medical Center Lancaster, PA percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 15 | Penn State Health Milton S. Hershey Medical Center Hershey, PA percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 16 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 17 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 18 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 19 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 20 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 21 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 22 | St Joseph Regional Health Network Reading, PA percent of total billed charges · bothfrom % of charges | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 23 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · inpatientfrom % of charges | 2 | $9 | $9 | $3 | 35% | — | $5 – $12 |
| 24 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · outpatientfrom % of charges | 3 | $6 | $7 | $3 | 50% | — | $2 – $12 |
| 25 | Texas Children's Hospital - Austin Austin, TX facility · percent of total billed charges · inpatientfrom % of charges | 2 | $9 | $9 | $3 | 35% | — | $5 – $12 |
← Payers reporting HCPCS A4355 · Snapshot 20261111T120946Z-9134e7f7